Individual
MS. ALYSON L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4330 WORNALL RD STE 50, KANSAS CITY, MO 64111-3201
(816) 931-3312
(816) 531-9862
Mailing address
PO BOX 7411931, CHICAGO, IL 60674-1931
(816) 931-3312
(816) 531-9862
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2002027389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004760A
—
KS
Enumeration date
08/29/2006
Last updated
06/11/2025
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